MENNONITE HOME ASSOCIATION INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MENNONITE HOME ASSOCIATION INC (EIN 43-0730924)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-03-05
- IRS object ID
- 201220659349300427
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-03-05T11:11:18-06:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 WASHINGTON AVENUE SUITE 1800 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 430730924 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MENNONITE HOME ASSOCIATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MENN | NameControl |
| Phone | 5732216000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2500 PLEASANT STREET | AddressLine1 |
| City | HANNIBAL | City |
| State | MO | State |
| ZIP Code | 63401 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAUL EWERT | Name |
| Title | CHIEF EXECUTIVE OFFICER | Title |
| Phone | 5732216000 | Phone |
| Date Signed | 2012-03-02 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ALLAN LARSON | Name |
| Phone | 3149254300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PAUL EWERT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2500 PLEASANT STREET | AddressLine1 |
| City | HANNIBAL | City |
| State | MO | State |
| ZIP Code | 63401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7035333 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BETHAVEN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1957 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE NURSING AND ASSISTED LIVING SERVICES TO THE ELDERLY | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 243 | TotalNbrEmployees |
| Total Nbr Volunteers | 464 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3739 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4245 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6579056 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 6868022 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 17243 | InvestmentIncomePriorYear |
| Investment Income Current Year | 20052 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 79700 | OtherRevenuePriorYear |
| Other Revenue Current Year | 143014 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6679738 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7035333 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3487602 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3568171 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3134690 | OtherExpensePriorYear |
| Other Expenses Current Year | 3262650 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6622292 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6830821 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 57446 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 204512 | RevenuesLessExpensesCY |
| Total Assets BOY | 7835251 | TotalAssetsBOY |
| Total Assets EOY | 7913895 | TotalAssetsEOY |
| Total Liabilities BOY | 4757339 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4632705 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3077912 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3281190 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDE QUALITY ELDERLY HEALTHCARE AND HOUSING IN A CHRISTIAN ENVIRONMENT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6218473 | Expense |
| Revenue | 6868022 | Revenue |
| Description | BETH HAVEN NURSING HOME AND ASSISTED LIVING IS A 105 BED SKILLED NURSING FACILITY AND A 38 UNIT ASSISTED LIVING FACILITY PROVIDING NURSING AND ASSISTED LIVING CARE TO THE ELDERLY. | Description |
| Total Program Service Expense | 6218473 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 24 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 243 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAUL EWERT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5732216000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2500 PLEASANT STREET | AddressLine1 |
| City | HANNIBAL | City |
| State | MO | State |
| ZIP Code | 63401 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| WENDELL KREIDER | ||||||
| PRESIDENT | 0.50 | X | X | 0 | 0 | 0 |
| JEROLD LEE | ||||||
| VICE PRESIDENT | 0.50 | X | X | 0 | 0 | 0 |
| DIRK SAUER | ||||||
| SECRETARY/TREASURER | 0.50 | X | X | 0 | 0 | 0 |
| TODD AHRENS | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| TIM GOODMAN | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| EDITH DANIELS-RICE | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| BETTY HATHAWAY | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| RICHARD GRIFFEN | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| ED CLINE | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| PAUL EWERT | ||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | X | 0 | 80595 | 14336 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 80595 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 14336 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BETH HAVEN MANAGEMENT SERVICES | |||||
| 2500 PLEASANT STREET | HANNIBAL | MO | 63401 | MANAGEMENT FEES AND SALARIES | 535708 |
| FIRST CHOICE PHYSICAL THERAPY | |||||
| 5 WEST STATE 8TH PLAZA | QUINCY | IL | 62301 | THERAPY SERVICES | 121624 |
| ONR INC | |||||
| 1101 S CAPITAL OF TEXAS HWY BLDG G | AUSTIN | TX | 78746 | THERAPY SERVICES | 111793 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| All Other Contributions | 4245 | AllOtherContributions |
| Total Contributions | 4245 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RESIDENT SERVICES | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 6868022 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6868022 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 6868022 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19899 | TotalRevenueColumn |
| Exclusion | $19,899 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 13000 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 13000 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13000 | TotalRevenueColumn |
| Exclusion | $13,000 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 153 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 153 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 153 | TotalRevenueColumn |
| Exclusion | $153 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MISC INCOME | 900099 | 89521 | $89,521 |
| VENDING MACHINE | 452000 | 17759 | $17,759 |
| MEAL INCOME | 722320 | 12876 | $12,876 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9858 | TotalRevenueColumn |
| Exclusion | $9,858 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 130014 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7035333 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6868022 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $163,066 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2983087 | Total |
| Program Services | 2926158 | ProgramServices |
| Management And General | 56929 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 333795 | Total |
| Program Services | 327425 | ProgramServices |
| Management And General | 6370 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 251289 | Total |
| Program Services | 246493 | ProgramServices |
| Management And General | 4796 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 310336 | Total |
| Management And General | 310336 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13196 | Total |
| Management And General | 13196 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36038 | Total |
| Management And General | 36038 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24527 | Total |
| Management And General | 24527 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1000869 | Total |
| Program Services | 967580 | ProgramServices |
| Management And General | 33289 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 254851 | Total |
| Program Services | 249452 | ProgramServices |
| Management And General | 5399 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2599 | Total |
| Program Services | 2549 | ProgramServices |
| Management And General | 50 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18567 | Total |
| Program Services | 18213 | ProgramServices |
| Management And General | 354 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 202273 | Total |
| Program Services | 197988 | ProgramServices |
| Management And General | 4285 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 298980 | Total |
| Program Services | 292645 | ProgramServices |
| Management And General | 6335 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 154358 | Total |
| Program Services | 151088 | ProgramServices |
| Management And General | 3270 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| RENTAL & MAINTENANCE | 442955 | 435734 | 7221 |
| NFRA MONTHLY FEE | 372346 | 372346 | |
| BAD DEBTS | 82916 | 82916 | |
| VENDING MACHINE | 13990 | 13723 | 267 |
| DUES & SUBSCRIPTIONS | 13532 | 13532 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20317 | Total |
| Program Services | 17079 | ProgramServices |
| Management And General | 3238 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6830821 | Total |
| Program Services | 6218473 | ProgramServices |
| Management And General | 612348 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 544518 | BOY |
| EOY | 377577 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 942671 | BOY |
| EOY | 1030116 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 341420 | BOY |
| EOY | 538901 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95555 | BOY |
| EOY | 203750 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23197 | BOY |
| EOY | 24586 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42912 | BOY |
| EOY | 42036 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 9645216 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4130084 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5657747 | BOY |
| EOY | 5515132 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97004 | BOY |
| EOY | 97079 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90227 | BOY |
| EOY | 84718 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7835251 | BOY |
| EOY | 7913895 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 432834 | BOY |
| EOY | 479738 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4262065 | BOY |
| EOY | 4093757 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62440 | BOY |
| EOY | 59210 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4757339 | BOY |
| EOY | 4632705 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3077912 | BOY |
| EOY | 3281190 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3077912 | BOY |
| EOY | 3281190 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7835251 | BOY |
| EOY | 7913895 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 204512 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -1234 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3080 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2500 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5453 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3739 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4245 | CurrentTaxYear |
| Total | 19017 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4898184 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5920423 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6317381 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6579056 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6868022 | CurrentTaxYear |
| Total | 30583066 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4901264 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5922923 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6322834 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6582795 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6872267 | CurrentTaxYear |
| Total | 30602083 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 30602083 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 56926 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 53859 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 36313 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 30243 | CurrentTaxYearMinus1Year |
| Current Tax Year | 32899 | CurrentTaxYear |
| Total | 210240 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 56926 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 53859 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 36313 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 30243 | CurrentTaxYearMinus1Year |
| Current Tax Year | 32899 | CurrentTaxYear |
| Total | 210240 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 53453 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 82950 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus1 Year | 66700 | CurrentTaxYearMinus1Year |
| Current Tax Year | 130014 | CurrentTaxYear |
| Total | 333117 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5011643 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6059732 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6359147 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6679738 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7035180 | CurrentTaxYear |
| Total | 31145440 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98260 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98520 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00680 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00770 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 103330 | OtherCostOrOtherBasis |
| Book Value | 103330 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8608770 | OtherCostOrOtherBasis |
| Depreciation | 3542183 | Depreciation |
| Book Value | 5066587 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 885489 | OtherCostOrOtherBasis |
| Depreciation | 543034 | Depreciation |
| Book Value | 342455 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 47627 | OtherCostOrOtherBasis |
| Depreciation | 44867 | Depreciation |
| Book Value | 2760 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5515132 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| RESIDENT TRUST FUNDS | $22,041 |
| DUE TO AFFILIATES | $32,682 |
| DUE TO TERRACE | $58 |
| DUE TO GROUP HOMES | $4,429 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 59210 | TotalOfAmounts |
| Total Revenue | 7035333 | TotalRevenue |
| Total Expenses | 6830821 | TotalExpenses |
| Excess Or Deficit For Year | 204512 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -1309 | NetUnrealizedGLOnInvestments |
| Other | $75 | OtherAmount |
| Total Adjustments | -1234 | TotalAdjustments |
| Excess Or Deficit Per FS | 203278 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 7034099 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1309 | NetUnrealizedGainsInvestments |
| Other Revenues | 75 | OtherRevenues |
| Revenue Not Rptd F990 | -1234 | RevenueNotRptdF990 |
| Revenue Subtotal | 7035333 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 7035333 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 6830821 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 6830821 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 6830821 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE ASSOCIATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ASSOCIATION IS NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501 (C)(3) OF THE CODE. THE ASSOCIATION IS CLASSIFIED AS A PUBLICLY SUPPORTED CHARITABLE ORGANIZATION UNDER THE CODE AND CONTRIBUTIONS TO THE ASSOCIATION QUALIFIES AS CHARITABLE TAX DEDUCTIONS FOR THE CONTRIBUTOR. THE ENTITY FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE ASSOCIATION'S INCOME TAX RETURNS FOR THE YEARS 2007 THROUGH 2010 ARE SUBJECT TO REVIEW AND EXAMINATION BY THE IRS. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | GAIN ON INVESTMENT IN AFFILIATED COMPANY 75. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | GAIN FROM INVESTMENT IN AFFILIATED COMPANY 75. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JEROLD LEE BOARD OF DIRECTORS | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | PRESIDENT, COMMERCE BANK | Relationship |
| Amount Of Transaction | 202273 | AmountOfTransaction |
| Description Of Transaction | LOAN AND CHECKING ACCOUNT | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION DELEGATES MANAGEMENT DUTIES INCLUDING SUPERVISING PERSONNEL, OPERATIONS, AND BUDGETING TO BETH HAVEN MANAGEMENT SERVICES, A MANAGEMENT COMPANY. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE MANAGEMENT AND BOARD OF DIRECTORS WILL BE PROVIDED A DRAFT OF THE 990 FOR REVIEW PRIOR TO BEING FILED. THE BOARD WILL AGAIN REVIEW IT AT THE NEXT REGULAR MEETING FOLLOWING THE FILING. MANAGEMENT WILL REVIEW IT WITH THE BOARD WHERE THEY WILL RECEIVE A SUMMARY DURING THE MEETING AND PROVIDED A COPY FOR REVIEW ON THEIR OWN. | |
| ANNUALLY, IN JANUARY THE BOARD OF DIRECTORS AND KEY MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST. THESE POTENTIAL CONFLICTS OF INTEREST ARE DISCLOSED TO THE ENTIRE BOARD. DURING A BOARD MEETING IF A POTENTIAL CONFLICT OF INTEREST ARISES THE BOARD MEMBER IS TO DISCLOSE THE POTENTIAL CONFLICT AND REMOVE THEMSELVES FROM THE BOARD DISCUSSION AND VOTING. | FORM 990, PART VI, SECTION B, LINE 12C | |
| PRIOR TO HIRING AN AREA WIDE REVIEW OF COMPARABLE POSITIONS IS CONDUCTED. ANNUALLY A SURVEY OF NORTHEAST MISSOURI NURSING HOMES IS CONDUCTED TO COMPARE SIMILAR POSITIONS. DURING THE ANNUAL REVIEW AN EVALUATION OF CURRENT MARKET CONDITIONS, COMPARABLE POSITIONS, AND FACILITY OPERATIONAL FORECASTS ARE CONSIDERED IN DETERMINING COMPENSATION. SALARY LEVELS FOR OFFICERS AND KEY EMPLOYEES ARE SET BY THE BOARD OF DIRECTORS. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THE ORGANIZATION MAKES THE CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED LOSSES ON INVESTMENTS: -1,309. GAIN ON INVESTMENT IN AFFILIATED COMPANY 75. TOTAL TO FORM 990, PART XI, LINE 5: -1,234. | FORM 990, PART XI, LINE 5: |
| THE ORGANIZATION HAS NOT CHANGED ITS PROCESS FROM THE PRIOR YEAR. | FORM 990, PAGE 12, PART XII, LINE 2C- AUDIT COMMITTEE OVERSIGHT & REVIEW: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| BETH HAVEN GROUP HOMES | ||||||||||
| 2518 PLEASANT ST | HANNIBAL | MO | 63401 | 431580486 | HOME FOR HANDICAPPED | MO | 501C3 | 509(A)(2) | N/A | 0 |
| BETH HAVEN TERRACE | ||||||||||
| 901 CENTRAL AVE | HANNIBAL | MO | 63401 | 431162094 | ELDERLY APARTMENTS | MO | 501C3 | 509(A)(2) | N/A | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETH HAVEN MANAGEMENT SERVICES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2500 PLEASANT | AddressLine1 |
| City | HANNIBAL | City |
| State | MO | State |
| ZIP Code | 63401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431299897 | EIN |
| Primary Activity | HEALTH CARE MANAGEMENT | PrimaryActivity |
| Legal Domicile State | MO | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 75 | ShareOfTotalIncome |
| Share Of EOY Assets | 224386 | ShareOfEOYAssets |
| Percentage Ownership | 0.50000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| BETH HAVEN MANAGEMENT SERVICES | |
| L | 245978 |
| BETH HAVEN GROUP HOMES | |
| P | 89466 |
| BETH HAVEN MANAGEMENT SERVICES | |
| N | 289730 |
| BETH HAVEN MANAGEMENT SERVICES | |
| D | 190063 |
| BETH HAVEN GROUP HOMES | |
| E | 4093757 |
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